Anisha E Mathi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3273 Issued in TN

Practice address

2358 Lifestyle Way Ste 212
Chattanooga, TN 37421-2291

Phone

(423) 521-1100

Fax

(423) 521-1200

NPI assigned

Jan 15, 2016

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 3375591209, 24 clinicians

Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 8224118773, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.32 of 100Reported as group

Quality

64.03

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: anisha.mathi@sccdc.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin Cancer and Cosmetic Dermatology Center PC

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1144419458
  Medicare reassignment Care Compare group
• Skin Cancer & Cosmetic Dermatology Center, PC

  • Dermatology Physician
  • Dalton, GA
  • NPI 1376605394
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1548627912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212291",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212291",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHI",
        "first_name": "ANISHA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer and Cosmetic Dermatology Center PC",
            "address_1": "2358 Lifestyle Way Ste 212",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374212291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Beall Matherley, MS, RDN, LDN
• Audrey Eubanks Mathes, RN
• Kenneth M Mathews III, CRNA
• Lucas Kent Mathews, OTR/L
• Susan K Mathews, N.P.
• Ava Mathis
• Candice Marie Mathis, RN BSN
• Gwendolyn Brooke Mathis, RDH
• Lindia Mathis
• Rachel Marie Mathis, MS, CCC-SLP

• Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.